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�+r.- �.�i1.�i'iC"''V �i�r� CONSTRUCT"')N PERMIT <br />�ITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8870 <br />❑ DEOAOLITION ❑ COMBINATION ❑ BUILDING ❑ IMECHANICAL � PLUMBING ❑ SIGN <br />PROJECT ADDRESS:_ W y 2b «�ri +�Vr= 4 u�r�� <br />ioDD w'wDF �y20 <br />YNt 11DIX1E55 <br />IIP <br />�RCN�TECTpiDE51GNER MNIADDRE55 CITY Zin P1qNE <br />� csEy <br />GENE1ULCpNTMCtOR MAILADORE55 CIfY TIP PIIpNE SfATEUCENSE� <br />ZID <br />PLUAlINGCpNTRACTOR yA1LADORESS GN IIP PNpNE ST�TELILENSE• <br />.� <br />oEscweE <br />�cK oEscnwrroN oc rnorl <br />iot � <br />PMCEL TAX I.D. MIUBER <br />CON5INULTION IOAN LENOER. ADORESS. 7ELEP110NE MIMlER <br />PLUM&N(i <br />NO• TYPE OF FlXIURE OR ITEM <br />WATER ClOSET (TOILEn <br />BATHTUB <br />UVATORY (1NASH BASIN) <br />SHOYVEq <br />KITCHEN SINK 8 DISP <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />ROOR DRAIN <br />BACKFLOW PREVENTERS <br />SINK (SERVICE — BAR, ETC.) <br />SUB TOTAL <br />PERMIT S <br />TOTALFEE S �� <br />FOR OFFlCE USE ONLY: <br />iRd/75EtBACK RE�R SETB/�CN SIDE SETBACK <br />USE 20NE l0T 11RE� VAGINT SITE <br />❑VES ❑ NO <br />MEIGNTOMTATION NOOFDWELUNG 512EOFBLDGRI <br />UNITS <br />❑YES ❑ NO <br />FIRE AURM REO'0 <br />NEATING SYSTEM: �I GAS C] GLECTRIC O <br />CONTACT PERSON ANp PNONE Np <br />I HEREBY CERTIFY TNAT I HAVE READ AND EICAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF UWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE ORANTINQ OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORI7y TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW RE6ULATIN(i CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM TME WORK FOR WMICH <br />APPLICATION IS MADE AND I COMPLV WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296200 WAC. <br />x �%� / � U%r�e -5�2�/97 <br />SH3N URE DAIE <br />CIIY BUSINESS I�CENSE NO <br />'.aL�� �li'�r � <br />FORCED AIR <br />UNIT HEATERS <br />CLOTHES DRYI <br />RANGEHOOD <br />MEfAL FIREPLACE I <br />FIREPLACE INSE� <br />GAS FIREPL0.CE <br />GAS PIPING <br />D(HAUST Ff <br />PUN CIIECN NUMAER <br />ssa�' <br />BUILO�NC <br />PlUM01NG <br />MECN�NIC�L <br />�DDIfIONAL PUN p�F.LK <br />OTHER <br />5'AIE BUIl01NF SIIqC1uf10E <br />TYPEOF�ONST PIANS�PPROVEDBY CITYOFEVEREIT ���BIIf.WORN.�'. <br />LOCAL SALES <br />o�rF TAX CODE IS 3105 TOTAL <br />PERMIT S <br />TOTALFEE S <br />PEF I REf.EIPI NO <br />- - . r... -,- �.:;,f.� <br />. .. ��. �'i �i:M <br />